Dental
Davidson, Monica
Davidson, Monica was paid $103K by Medicaid between Apr 2018 and May 2018, across 17 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 18% of everything it billed.
33Billing provider infoDAVIDSON, MONICA
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
33aNPI1336390848assigned 10/02/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$103K
24GClaims3,360
24DCodes billed17
24AFirst – last monthApr 2018 – May 2018
Compared with peers
Next to other General Practice Dentistry providers in Tennessee
Rank by total paid#178 of 336
Median peer was paid$123K
This provider vs. median0.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,360 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 18% | 130 | 45 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 430 | 224 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 557 | 287 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 7.7% | 408 | 210 | $8K |
| D0272 | Bitewings - two radiographic images | 7.0% | 304 | 158 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 6.7% | 80 | 41 | $7K |
| D2140 | 6.4% | 101 | 42 | $7K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.3% | 68 | 32 | $5K |
| D1110 | Prophylaxis - adult | 5.0% | 108 | 53 | $5K |
| D1351 | Sealant - per tooth | 4.2% | 161 | 32 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 228 | 116 | $4K |
| D1206 | Topical application of fluoride varnish | 2.6% | 134 | 69 | $3K |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.